NPI: 1922125228 · LIVERPOOL, NY 13090 · Dentist · NPI assigned 03/23/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 297 | $11K |
| 2019 | 536 | $18K |
| 2020 | 428 | $13K |
| 2021 | 89 | $3K |
| 2023 | 153 | $6K |
| 2024 | 326 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 673 | 673 | $36K |
| D0120 | Periodic oral evaluation - established patient | 708 | 708 | $19K |
| D0272 | Bitewings - two radiographic images | 191 | 191 | $3K |
| D1120 | Prophylaxis - child | 56 | 56 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 114 | 114 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 36 | 36 | $1K |
| D0274 | Bitewings - four radiographic images | 27 | 27 | $681.50 |
| D0220 | Intraoral - periapical first radiographic image | 24 | 24 | $336.00 |